Alexander M Wolfe
Behavior Technician in Grand Rapids, MI. Individual provider (NPI-1).
NPI number1164060885
StatusActive
Last updated in NPPESDec 12, 2019
Details
- NPI
- 1164060885
- Entity type
- Individual (NPI-1)
- Name
- Alexander M Wolfe
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 12, 2019
- Certification date
- Dec 12, 2019
- Last updated
- Dec 12, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
2460 Burton St SeGrand Rapids, MI 49546-4801
Phone 616-278-1201
Mailing address
21600 Oxnard StWoodland Hills, CA 91367-4976
Phone 818-345-2345
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